Basic Information
Provider Information
NPI: 1639278757
EntityType: 2
ReplacementNPI:  
OrganizationName: ACCENT URGENT CARE & AFTER HOURS PEDIATRICS, PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 212 ASHVILLE AVE
Address2: SUITE 10
City: CARY
State: NC
PostalCode: 275186669
CountryCode: US
TelephoneNumber: 9198591136
FaxNumber: 9198594240
Practice Location
Address1: 212 ASHVILLE AVE
Address2: SUITE 10
City: CARY
State: NC
PostalCode: 275186669
CountryCode: US
TelephoneNumber: 9198591136
FaxNumber: 9198594240
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 08/10/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MORRIS
AuthorizedOfficialFirstName: LOUISE
AuthorizedOfficialMiddleName: B.
AuthorizedOfficialTitleorPosition: CREDENTIALING COORDINATOR
AuthorizedOfficialTelephone: 9198591136
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QU0200X NCY Ambulatory Health Care FacilitiesClinic/CenterUrgent Care

No ID Information.


Home